Snap Shot A 58-year-old women presents with a rapidly enlarging, painful breast mass. The overlying skin exhibits edema, warmth, erythema. There is non painful adenopathy in the ipsilateral axila. Introduction Most malignant type of breast cancer Rare and accounts for less than 3% of the cases Metastasis occurs early and prognosis is very poor almost always widely metastatic at presentation Presentation Presents with redness and pain of breast and peau d'orange skin inflammatory presentation due to plugging of the dermal lymphatics Differential Must be distinguished from erysipelas of the breast Treatment Mainstays of therapy is radiation hormone therapy Chemotherapy Rarely resected surgically